New Patients

Patients who wish to register must live within the practice boundary.

Please complete the two initial registration forms above and ALL of the downloadable forms below and bring into the surgery with your ID. Alternatively they can be emailed to licb.reception.trentvalley@nhs.net along with a picture of your ID.

Electronic Record sharing Consent

Third Party Sharing consent

SMS and Email Consent

Online Access Request Form

Carers Identification Form

You may need to click on the Enable Editing button in Word when the forms open to allow you to complete and print them. If you do not have access to a computer these forms can be completed at reception.

Following completion of the forms, a health check appointment may be necessary with either a nurse or doctor.

It is essential for the smooth running of the practice that you attend this. It enables us to check on any potential problems you may have and also helps us to monitor the health needs of the practice as a whole. Blood pressure, urine testing and general health enquiries will be carried out at this appointment. It often takes some time for your records to reach us from your previous doctor so please take advantage of this service, which is free to you as an NHS patient.

Please let us know if you are a Veteran or have any additional needs in which we can assist you with. If you have someone who deals with your medical needs or a carer please ensure you fill in a third party consent form which will enable us to discuss your health with the person of your choice.

If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient.

You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice list and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with that practice.

To register as a temporary patient simply contact the local practice you wish to use. Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups.

Open the leaflets in one of the following languages:

English	Farsi	Urdu
Albanian	Bengali	Hindi
Arabic	Croatian	Lithuanian
Bulgarian	Punjabi	Polish
Chinese (Cantonese)	Somali	Portuguese
Chinese (Mandarin)	Gujerati	Spanish
Russian	Turkish	French

Disabled patient facilities are also available at this practice.

(Car park space, ramp, toilet etc).